Mayra Cecilia Bravo, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123232 Issued in CA

Practice address

2600 Redondo Ave FL 3
Long Beach, CA 90806-2325

Phone

(562) 256-2900

Fax

(562) 290-0074

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Twin Town Corporation

  dba Twin Town Treatment Centers, Torrance

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Torrance, CA
  • NPI 1861828600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1427785799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 TWEEDY BLVD STE B2-418",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806151",
            "telephone_number": "323-599-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE FL 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062325",
            "telephone_number": "562-256-2900",
            "fax_number": "562-290-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "424-306-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 Torrance Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905035805",
            "country_code": "US",
            "telephone_number": "310-787-1335",
            "fax_number": "310-787-1809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "MAYRA",
        "middle_name": "CECILIA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birinder S Brara, MD
• Anita Louise Brashear, PSY.D.
• Aimee Brasher, MFT
• Brave Hearts Marriage and Family Therapy, Inc. (Brave Hearts Therapy)
• Alicia Klaanyene Bravo
• Mayte Bravo
• Cynthia Ann Brayboy, MSW
• Breakthrough Mental Health Nursing Inc
• Breast Imaging Radiologists, a Medical Group, Inc. (Breast Imaging Radiologists)
• Lashanique Breaux

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.